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786 Yorktown Pl r..w,. ti~ 'Y OF . E . AGPN ww~ac SERVICE IPERM .j30 Pilot Knob Aosd PERMIT NO.: _ N. O. Boz °115'! ' D/+TE: ' Eogan;'MN 5$121 1 F 1 No. of Units: Zonirg: IIC Qwner: Addros,; T,14 B2 Sunset 4th a Mdnsr B 6 470.00 cl umb°r. `C.' LJ =ion Choroe: 15.00 P r No.: uM Deposit: 10.00 nd Size: Af Pertnit Fee: , p p~ o.: wMM 1M '1+rm Surcharoe: 63 00 p_ °meter = M ~ Misc. Gwroac Total: ~ pcftt Poid: B ~ irnp:: pate of 1 nsp.: • - - - CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5649 P.O. Box211q9'• PERMIT NO.: Eegen, MN 59121 DATE: Rl No. of Units: 1 Zoninp: p,,,,,,er; Johnson Const Iac Addrosr. ~ Site Addm,s: 786 Yorktown L14 B2 Sunaet 4th plumber. Johnsan Conet Inc Mehr No.: Cannectian Chorgs: 47 , 40 pd I Siu: Acoount Deposit: Is Raader No.: Permit Fte: 10.00 I ~ 1 pm te eomrlp wMh 1w Cky of 4ps Surcho?yes .3fy P ; Charges; 63.00 pd meter Total: By Doto Poid: I' Dote of Insp.: Irop.: CITY OF EAGAN SEWER SERVICE PEitN11T 3830 Pilot Kno • Raad P. O. Bcx 2118i PERMIT NO.: _ Eagan, MN 551DATE: 1 Zoninp: No. of Units: Owner_ o nson onet nc Add'Qss' 786 or town L1 B2 Sunset 4th Stte Addross: . Plumber: . ~ 6-12-9T-TOOS 425.00 pd I.gw ta «mrly wlw tIN Ck1r oi iWN Cornuctton C}+orw: = P ~Nnaa. A°°°urK Drposit' P PennR FM: . P ' Surclarpa: , ' By Miac. G+oroes: Dote of I nsp.: Totol: Insp.: DaM Pald: , CITY OF EAGAN ~ • . 3830 Pilot Knv6 Raad, P.O. Box 21-199, Eagan, MN 55121 No 916K PHONE:454-8100 BUILDING PERMIT Reuipt (-41` ~ Te be wed im SF I3kd'G/GAR Est. Vafue $70,000 pate JUNE 12 )9 84 786 YORY.TO;dN FL![(' ~ R3 Site Add~eg 2 Erect Occupancy Lot l~ Block Sec/Sub Alter ? Zoninp Parcel No. Repoir Q Fire Zone Name ,ENNIS JOHNSON Movro° O Type of Const. ae W ? # Stories ~ Address . BOX 170 pemolish p Length 44 Citv QT~~CY Phone 462-5410 Grade ? DePth 4~ Sq. Fi. , ~ Name APProvals Feas o~ Address /lssessment Permit 343.0(' u0r~ City ~J A Phone 0 Woter b Sew. Surchorye 35.00 Polite Plan check~~BU ~Z Name Firo 5/1C ~00 u~ Addres9 Enp. Water Conn. 470.00 ~ W City Phone Pionner Water Meter 6 3. 0 l} Council Road Unit 260.01) 1 hereby ocknowledge that I hova reod this opplicotion ond stcte thot BI . Off. the informotion IS torrect ond ngree to comply with oll appliccble A~ T,~a~ 1,867 . 5 tl Stota of Minnesota Stctutes ond City of Eogcn Ordinances. Sipnoturo of Pem?ittea A Building Permit Is iuued to: JOI3NSGTlI COi3ti';. on the exprou condition thnt oll work sholl be done in CKtordnnte wlth oll pplicable State of-yin~nesoto $tatutes and City of Eagan Ordinances. BuUdinp Officicl - _ _ PKmit Na Pamit HoleMr Misc. Permit No. Holdsr Plumbiny H.V.A.C. c h,s, ~l U r a~ I Y,?.ll Watar D'ap. Srw~r EMctric M rZ y 5-0 i I mpsdion Dote I nsp. Othar Footinpt -~/.3 Foundttion Fnminq Rw,on Pft - f -Y cd Rough HVA Irqulation 7 - Final Plbg. p. . ~ - ~ Final HVAC .I y Final Q ~ we"r Detcribe Locstion: MWII - SovNr Pr. Disp. . Receipt~ PLUMBING PERMIT Permit No.~ I 1 l CITY OF EAGAN Fee J• Fil1 in numbered spaces S/C • Type or Print legib/y ,rot.,;)~ 1, Date 2. instaliation Cost ' • P~ 3. Job Address rLot Blk. Tract 4. Owner ' f 5. Contractor Phone ' 6. Address 7. City State Zip - / 8. Building Type: Residential 4D Commerciai ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfietd Bath tubs Septic Tank ~ Lavatory Softner ' Shower Well ~ KitChen Sink Urinal/Bidet Other Laundry Tray ; ~ i ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby artify that the above information is true and correct, and I agree to ' comply with all ordinances and codes governing this type of work. ~ Signed : , for Rough Finsl Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Reoefpt MECHANICdL PERMIT Permit No. CITY OF EAGAN ' • Fee FfII in numbered.;pecea S/C Type or Print /egibly Tot. 1. Date 2, installation Cost 3. Job Address _ ' i:ot Bik. Tract 4. Owner 5. Contractor Phone 6. Addre:s 7. City State 2ip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add O Alter O Repair ? 10. Descxibe Fuel Type 11. No. EQuinment BTU - M. Ea. No. Eguipment CFM Forced Air Air Handling: Mfg. Boi lers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks 1~' °`SL J^~ (Slv3~1 ,8~ l SUNSET 4th 14 2 ~ Addition Lot - Rlk Parcel 10 72988 14 Owner Street 786 Yorktown PlacP _ State Es an MN 55123 Improvement Oate Amount Annual Years <<~, Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1981 193.26 9.66 20 SEWER LATERAL 19$1 18.52 . jo 1 Sewer Lateral s-n 1981 25.97 , I= 20 19-47 WATERMAIN 51 I981 32.56 2.17 ZO !rJ WATER LATERAL 19$1 21 . 74 30 --16 99 WATER AREA ~-7 1981 193.26 9.66 20 14496 Water Lateral 1981 34.40 1.72 20 95 80 11 STORM SEW TRK 1985 516.55 34.44 15 " STOHM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 260.00 #44008 6-12-84 WATER CONN. 470.00 " 11 BUILDING PER. rr n SAC PAR K - ~ ~ INSPECTI4N RECORD ! CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 6$1-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ; ~ i . ~ r,,•. PermR No. Wnnft HoWM DaM Tibplwns # SAN PLUMBING HVAC ELECTRIC ELECTRIC Nap.ation o.e. In.p. camm.nt• Footirps I Foundation Frertdnp Roariv flajgh Pb9• Raqh H1D• Fnplaw FY+d Hlp. Orsat Teet Fwl Pbp• PDp. InaPecbr - Nolily F'Nxnber Canst. mtw EnprJPUn Bldg. Finsl Dex* FV. o.ac Fkw wa Pr. okq). ~ I l Nv 09160 RESIDENTIAL BUILDING PERMIT APPLICATION ec CITY OF EAGAN 3830 PILOT KNOB RD - 55122 , I ~ ~ y S 651-681-4675 ~ NewConsUUCtion ReauiremeMS RemodePReoair Reauirements . 3 registereA site surveys shaxing sq. ft of bt, sq. R. of house; aM 11 roofedareas • 2 copies of plan (20% maKimum Id coverage albned) . 1 set of Energy CalcuWtans fa heated additions • 2 copia d pan shoxing beam 8 window sizes; poured taria design, etc.) . 1 sAe survey fa exterbr addilions 8 dedcs . 1 set of Eneigy CalalaEOns . 3 copies o( Tree PreservaUOn Plan if lot platted afler 7l1193 • Rim Jdst Delail Oplions selection sheet (bldgs wdh 3 a less unils) DATE 6- VALUATION (EXCLUDING LAND) 9 /?cQ CO ~ JOB SITE ODRESS PLl-GQ.> IF MULTI-FAMILY BUILDING, H MANY UNITS? PROPERTY OWNER TYPE OF WO 1 / / FIREPLACE(S) _ YES ~F(O APPLICANT l PHONE * (748 ) 39I f 3 /U PAGER# # FAX~~~o3~J9~ ~13~0 Q,~E~~f phaXe- 7l~3- ~a5-aa~~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULFS 7672 - New Energy Code Worksheet Submitted Plumbing Coniractor: Phone Ik: Plumbing System Includes: Water Sottener L,awn Spiinkler ree: $90.00 Watei• I-Ieater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanic:il Sys[em [ncludes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phonl All above information must be submitted prior to processing of application. i{ I hereby acknowledge thot I have read This application, state that the information is cLlct, and agree to corriply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ By_ Signafure of Applicanf ~h Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 1101 This reques~ void ~l /O ) g /8 18 momhs from j ~ 49590 Li 8 'l 3~-Sa Requ~s~ Daic ~ Fire No. Roaph-in Inspection / pp~ Reeiurtetll ? ~ReaAy Now Will No~ify Inspec- o(S r~ o ~~Ve,s Nu !or When Heady Licensed Electrical Contractor I hereby reQUest inspection of above Owner eleclricol work inslnlled el: Street AAdress, Bos or Route No. City 18 orKfio,,-->-,,, - joi.-« il oG- ecuon o. Township Name or Nn. R:ange No. County , ':I-Kot~ Occuu=int (PF`INTI Phonu No. 2OY~`nS0 vl,- C. ~ST . Powe.r Suppli¢r Address C)e~.~Lofio~ E/c~t. 43 0o a~o-t ~at. (,J ~a.c~.~N K Elecvical Convactor ICOmpnny Name) Convactor's License No. MallinB AdJress (COntracmr or Ownnr Makinp Instailauon) a~ya~e ~o\nV. f4v c• j ISti ac I't SS~l3 Aufionzed nature IContmct / wne( Makin Install tioN Phone Number ' ~-z - MINNESOTA STATE 60AND OF ELECTNICITV TMIS INSPECTION qEQUEST WILL NOT Griggs-Midwey BIdB, - Roam N•191 BE FCCEPTED BV THE STATE BOAqD UNLESS PflOVEP INSPECTION FEE IS 1821 University Ave., St. Peul, MN 55104 Phone 16121297-2111 _ ENCLOSED. [,t l./((Q ~ REQUEST FOR ELECTRICAL INSPECTION EB-OOWI.(14 ' Seo instmchons far completine this form on back o1 vellow copy. ~1~1 Q Q~ ""X"" Below Work Caveiei/ by This Request Home Range Temporary ServiCe RInompute Type ol BmlCing Apoloo~ces WveC EquiUr~ent WireA Duplex Wa[er Heater Lic3hiiny Fiztures ApL Buildinq Dryer Electric HeAUnc Commercial Bldg. Fumace Siio Unlonder Indus[rial Bldy. Air Condrtioner Buik Milk Tank Farm Other Deci y Other 1lpeeityl 1 mr SUOCify Ot r.r Olhu~ spectron n Fee Below k m ize b Poe Faxders/Subfeaders b Foe Grcwts 0 to 30 Am>5 0 ca 30 Am> m>s 31 ro 100 Ainps 31 to 100 Am s Above 100Amps Above 1 00_Amps Irrigauon Booms Q Patial: Other Fee ecial n ction n Rerrurks -7a-3 ~ 49 TOTAL FEE Foogh-m DaIhe Electncnl ~O O Inspector, he~oby ~ cerbly ihn[ the above Final 013 msoection has bean mede. TNC repuest voal 1B mantb Irom CITY OF EAGAN ~T ~ 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121 l~l ? 9165 << PHONE: 454-8100 V*vv BUILDING PERMIT rteceiPt g To 6e uwd fer SF DWG/GAR Est. Val.e $70,000 pate JONE 12 , 1984 786 YORKTOWN PLACE R3 Site Address Erect Octupancy Lot 14 Block Z Sec/Sub. SUNSET 4 Alrer ? Zoninq Rl Percel No. Repair ? Fire 2one N A Enlarge ? Type of Const. V W Name DENNIS JOHNSON Move ? # Stories Z Address RT 1, BOX 170 Oemolish ? Length 44 9 City STACY phone 462-5410 Grade ? Depth 46 Sq. Ft.- JOHNSON CONST INC Apvrorols Foo. O Name ou Address RT 1, BOX 170 Assessment Permit $ 343 _ 00 u~ City STACY phone 462-5410 Water85ew. Surcharge ~S-n0 Police Plon check 171.50 GW Name Fire SAC 525. 0 ~ ~ Z ~ Address Enp. WaterConn. 470.00 'Z City Phone Plunner WaterMeter 63.00 C.ouncil Roud Unit 2()0_00 I hereby acknowledge Ihot I have read this opplicotion and sfate fhat gld0Off. fhe informafion is correct ond ogree to comply with oll applicobla APC Totol $1 867 _ rj~ Lr State fMinnesota Statutes and City of Eagan Ordinances. ture of PertniMee ding Permit Is issued to: JOHNSON CONST INC on the exDress condition tl+ai k sholi be done in accordarxe with oll p licable $to of 'nnesoto $fatutes and City of Eapnn Ordinances. Official PPLL f - ~ . ~ ~ - •GNECK E~eeyY ~ALG9. TY OF EAGAN Include 2 sets of plans, 1 Gertificate of Survey• & BUILDING PERMIT APPLICATION 1 set cf energy calculations. ' GNE.U< VALUA-Tlon( (EIbu2FS oN guK - 7b Be Used For g~`'~ I' DW UAv?.Valuation 610 Date D Site P3dress Xa k /y Qf K 2 sunsef gto ~op' IZTIJ OFFICE USE~ Y Lot Lk/ Block Sec./Sub.gunsef y Erect X Occupancy ~-3 Parcel Alter Zoning R-I Repair Fire Zone Owner: pi~i?ro/S al c.~nso-, Enlar9e _TyPe of Const. 'Q Address: ~f / Qox / 7c~ Mo`re # Stories . Derolish Front 4 ¢ ft. City/Zip Code: ts`19 79 Grade Depth ¢(o ft. Phone APPFZOVALS F'EES ~ COntrdCt.OY: SQ ~ L Ons f. 1 nn . ASSesSfI12i1tS P21"IRlt o ?iater/Sewer Surcharge Address: ,pf / Bex />b Police Plan Check ;5F City/Zip Cbde: S'~'~~y s:!'"o ) j Fire SAC Gi25. Water Conn. Pho~ y6 01 • s''!I d p~er Water Meter (o 3.= Council Rnad unit Z~ o. Arch/IIz9 • = Bldg. Off.~-rq W12-11}l Addrnss: APC City/Zip Code: _ Phone TOTAL /LA b 7' S O 13x.2°~.= ~,`7~x~q- = 2r~358 3~ x«- 4(osxsq- o~Z2= 1-7(oxs4 ~~c14' ~~x ql = 4~Is 22X22= 49+ x11 ` S324- G 43i4 (05, ~o ' - ID 2005 RESIDENTIAL BUILDING PERMTf APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Requirements RemodellFteoair Reauirements Office Use Oniv 3 2gistered site surveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _Y _ N (20%maxunum bl coverage allwied) 1 set of Energy Calculations for heated addNons Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _Y _ N iselofEnergyCalculations Addition - indkateiloo-sdesepticsystem On-siteSepticSystem _Y _N 3 copies of Tree Preservation Plan'rf lot platted after 711/93 Rim Joist Delail OpUons selec6on sheel (buddirgs wAh 3 or less units) Date 3 / b S Canstruction Cost Site Address yOQ~A) p4gZ Unit/Ste # C/P14-0 Description of Work (,A~/ ftqL. [a(~j ~"KS /'vJ~.(T 4_1 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 K I _ 2 Property Owner }'l..) I lCIUGLI ~ Telephone 3~) ' ?SO Contractor EK / ~)1C 2 l{ Address ui. City vi (,,((S State U•"" Zip '~3~_7 Telephone#(5il),9YJ'02 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#( ~ I hereby apply For a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ *~Vjo ` C), ApplicanYs Printed Name Appl' ant's Signature 2605 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reou"irements RemodellReoair Reauirements OfFice"Use 6niv _ 3 regislered site surveys showing sq A. of bt, sq. fl, of house, and all roofed areas 2 copies of plan CedaFSurvey Recd _ Y-_ N (20% mawmum lot cwerage allowed) 1 set of Energy Calwlations for healed addtlions irze PresiPian Recd Y-~ N, 2 copies of plan showing beam 8 window srzes, poured found design, etc. 1 sde survey for adddions & decks Tree Pres Required[ YN 1 set of Energy Calculations Adddion - mdicate d oo-sRe sephc system D[i-site Seplic5yslem~_Y~:fN 3 copies af Tree PreseNahon Plan d lot platled after 711/93 . Rim Joisl Delail Options selection sheel (buildings with 3 or less units) 6 D O Date __~)_l J, l _L5~ Construction Cost q L417 &D Site Address Unit/Ste # Descriptianof Work ~ 1Lx,'„ZYrLI' QJYIlO~ w~~19~! ~KJ Multi-Family Bldg _ Y~'N Fireplace(s) _ 0 _ 1 _ 2 i K Telep6ane#3 315 ~3 ED_3_ PropertyOwner ' c Contractor Address City State Zip 5~0 ITelephone #:7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cateeorv 1 _ MMesota Rules 7672 . Ene~gy CodO Category , Residenhal Venhlation Category 1 Worksheel • New Energy Cotle Worksheet ' (J submission type) Submitted Submdted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) G~ "'AR o Sewer/Water Contractor 4 Telephone ~ ey . I hereby apply for a Residential Building Permit~and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. f ~~C~f~ Rb So ~l Applicant s P nted Name Applicant's n re r RESIDENTIAL 1r~a ° 7S BUILDING PERMIT APPLICATION aO/d r~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conehuetlon Heaulrementt AemotleVPeoeir Heaulremente • 3 registeretl s0e surveys showing sq. ft. of lot, sq. tt. of house; anC all roole0 areas • 2 copies ol plan (20%manimumbtcoveragealbwed) • lsetofEnergyCalculatbnsforheatetladd'Abns • 2 copies oi plan sliowing beam 8 wirMOw sizes; pourad IounO design, etc.) • 1 sAe survey lor ea1erior add'Abns 8 deckt • 1 set of Energy Cakulatbns . Intlicale if home served by septic system lor adtlAbns • 3 copies of Tree Preservatbn Plan A lot plattetl alter 711193 • Rim Joist Detail Options selectqn sheet (bldgs wAh 3 or less unfts) DATE I / / VALUATION l~l • SITE ADDRESS MULTI-FAMILY BLDG _ Y ~fd NPE OF WORK CC)O R(1 FIREPLACE(S) Ik0 _ 1_ 2 i APPUCANT Cl STREETADDRESS STATE-ffDIP 5s-~OCO TELEPHONE # ~D 'WS' ~t*CELL PHONE # FAX # PROPERNOWNER 10~ 6CN CoTELEPHONE# qs~-a8r~ ° ° ° COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA7'EGORY 1 MINNFSOTA RULES 7672 (q submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Conhacfor: Phonc # _ Plumbing sys[em includes: _ Water SoRener _ Lawn Sprinl:ler Fee: $90.00 _ Water Hcater _ No. of R.I. Badis _ No. of Baths Mechanlcal Conhacfor. Phone q Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recoverv System Sewer/Water Conhacfor. Phone # 'I M N n , p---.?~o-~--; , - p- I hereby acknowledge maT I have read mis application, staTe maT me information is ort ect, and agree To co -ply wifh all applicable StaTe of Minnesota Statutes and CiTy ot Eagan Ordina S. F3 _ Signature of Applicanf - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) w(o CITY OF EAGAN 3830 PILOT KNOB RD • 55122 657-681•4675 New Cons}nicflon Reaulrements Remodel/Reooir ReauiremeMs ? 3 registered sMe surveys showing sq. tt. of lot, sq. N. of house 2 coples of plan and all rooted areas (20% maximvm lot coveraae aliowed) 7 sef of energy ealeulaflons lor heaTed addNlons D 2 coples ol plans (show beam 6 window sizer, poured 1nd. deelgn; etc.) 1 sMe survey for exferior addRions S decks ? i set of energy calculafions ? 3 copies of hee preservation plan N lot plaffed aRer 7/1/93 ~ DATE: ~ - CONSTR ION COST: CC nGc~ DESCRIPTION OF WORK: •o-, -4 ' U ,1 V l~ STREET ADDRESS: 78-G VO/"~< `-Ucao?l 'PI-AC-e_ Ea~ 10T: ~ BLOCK: ~ SUBD./P.I.D. #:~/1~ H ~ Name: Phone#: (CS/' S-('f' PROPERTY last First OWNER Street Address:? u ~4~2 City Sfate: Z Zip: Company: ~~-2+ U6Q ~C" Phone (area code) CONTRACTOR ' • , Street Address: sf4q-C, License M L% Exp.3 City tqkK- State: 4!~4~ Zip: W ARCHITECT/ - ENGINEER Company: Name: ielephone 1k: area code ( ) Street Address: Regishation Ik: City State: Zip: Sewer 3 water Iicensed plumber (reaulred for new construction onlv Penaity appiles when address change and lot change is requested once permM Is issued. I hereby acknowledge that I have read lhls appltcatfon, sfate fhat the Informatlon Is cect, a9Wa~ ee to comply wflh all appllcabl State of Mlnnesota Stafutes and CHy of Eagan Ordinances. ~ 17 Signature of Appilcant: l OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ' • 3 ~ ~ o 2/84 lt ~ CITY OF EAGAN APPLICATION POR PE:h^9IT SE:1cR AND/OR WATLR COUNECTIODI (PLEdSE PRIHi) 1) PP.OP&T:TY ADDFL°SS: rFr=,L DESGPI?TIC:I: 07~/-e.1 (Lot/31cck/Suncll~;isic^ or Ta:t Parcel I.D. biir=erl i: S_"::L'C -17,-v., Dii?':; G_° CRT_Gi_:;.L =_u2i.^,l`:G F-_--:'_I'^ TSS'-?; FP_°S__- ~^•1-•;,. ~ •~"~'cC~=:.~ US: fX?-1 SLiG"i.z ia_= ? R-Z CLPLEi ('?F•~ UNITS) ? P.-3 TCn,7,\TiOCJSE (TPIR=- + UNI':'S) ( iNI"_'S) ? R-4 FDPRT. z'`:?'/CC`iuCi1?';I'L:1 ( UDil:ji ? C:xTMSE~?CI.^w/i2ETAI:,/OzFICr~ ? II~'D~Si""'~.-S'~L Q PISTIT~'rI0`I~,L/CL~~~E•L~;P 2) e-PPLI= (P Sc ~A ,ii ) ADCfLSS: f D D C_T:'Y, STa'?':', ZIP: /7, ' Ss7'7 PHOVE: 3) pj,l,..Tp,r~ (PL SE P PffJ FOR CIiY USE CYLY NL~!E: ~ - PLII!!BERS LICE4SE: ADDRESS• XG`I Active CIT:, STATE, ZIP; ~j"14~d Expired ~H~i<s Q Not of Fecord PHONE: ~f6~ S-y/O PLUMBER LICENSE N QQ.31~1~ 1,-tlo art tnt[ia 4) p=p;.]'r/Cr•TT-PR NAME: (PLEASE PRINl) ADDRESS: CIT"t, STATE, ZIP: PHO*1G; 5) INDIG TG 47HICH PEF.'•lIT IS BEP:G REQUESTID: ~ CanIECI'IOV 'Ib CITY SET.•lm CC.':IE~i'ICN 'IO CiTY IdATLT2 ? dI?-T...R (PLFASE GESC?,IBE) 6) L`:DIG;:.. C:4.: PL7_7SE f:OLD t'1PPRMEp PM%ffT FOR PZCK-W BY ONE OF 'aEC,'E ~°LaSE ~PIL RPPRM T'PJ 1, 2, 3, 4 P,EO'T' (Circle cr.e) 7) SZC=7RE: Dh'IE: 6 O~7~ ~-a• c F 0 R C i T Y U S E O N L Y PE .%tIT = ISSUED F°ES: $ /O • `'~O c=i`En nretirm ~_.:Cr--,=' o~~]-rr... . i ...:U... JU........_._./ $ WATER PE:2C1IT (Ii:CLLDE SURC::ARGc.) ~ ro'~.CSU WAT°R METEP./COPPERHORN/OUTSiDE RE.=R S W:iTE' T.a? (Z\Ci,CiDE COp?OR:;T=O:. S^_C?) $ $E:ltR TA? . $ ACCOUNT ^vEPOSIT - SEEidEP, $ JS~d ACCOUNT DE?OSI'?' - td:,IrR $ ~I70 . OD WAC $ 'r72 6L~ SA C $ TRiiVii ?'7ATr.°, aSSESS:-IE::T $ TRliNi: Sc';~ER ASSESSi•tE`iT $ Lr1TE°vL BENLFZT/TBU`iK SE?•iER $ LATERAL BENEFIT/T4U:IK IVaTrR $ OTHER $ TOTAL $ Ai.?OU::T PAID/RECEI?T ; DOES UTZLIT'i COD7NECTZON REQOZRE EXC:;VATION ZN pUBLIC RIGliT OF S4AY? ~ YES ZF YES, THEN A"PERMIT FOR S90R?C WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THc 0 NO ENGZNEERIlNIG DIVISZON. LZST AS A CONDI- TION. SUIISECT TO Tf1E FOLiO['IIDIG COCIDZTIONS: APPROVED BY: TIT*E: DATE: .o mwim..m oc m am PERMIT CITX'OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: aurLorNG Eagan, Minnesota 55123 Permit Number: 0 2 0 7 8 0 (612) 681 •4675 Date Issued: 0 4/ 2 9/ 9 3 SITE ADDRESS: 786 YORKTOWN PL LOT: 14 BLOCK: 2 SUNSET 4TH P.I.N.: 10-72966-140-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Building Length 22 Building Width 14 ~ ~ REMARKS: FEE SUMMARY: Base Fee $25.00 COPV $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: - npplicant - sT. Lzc. OWNER: R 0 CONST 14523575 0004988 MERCADO SUE 980 STONY POINT RD 786 YORKTOWN PL EAGAN MN 55123 EA6AN MN (612) 452-3575 (612)454-2877 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. L Statutes and City of Eagan Ordinances. J APPLICANT/PERMITEE SIGNATURE ISSUE Y: SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMITTYPE: BurLozNc 3830 Pilot Knob Road Permit Number: 0 2 0 7 8 0 Eagan, Min nesota 55123 Date Issued: 0 4/ 2 9/ 9 3 (612) 681-4675 SITEADDRESS: LoT: ia BLOCK: Z APPLICANT: 786 YORKTOWN PL R 0 CONST SUN3ET 4TH (612) 452-3575 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . FOOTING FINAL ~ ~ REACTIVATE _ CIIY OF EAGAN PERMIT N~ CEG~ EWEDD 1993 BUILDING PERMIT APPLICATION ~ APR 2 7 9993 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. dd afe Valuatian of work 3 om c2' Site Address: 79-G vov//'Z`oww Y~ STREET SUITE N Tenant Name: (commercial only) i.ox I~I ai.ocx 2 Fsuan.~' I.D. M Descri tion of work: The applicant is: ? Owner ? Contractor ? OtI12T' (Deeeribe) Name H aµ-SuX- PhoneNSu-ZS77 Property LAST FIRST Owner Address 79r6 `Tolac~.--~ P~ STREET STE t City L a State Zip S-s' -7 Company , Phone Al 572 '35 75 R. O. CONSTRUCnoN License # N `r~ Exp.3 - 9s Contractor Address 989 G PO'.g Rr' EAGAN, R4N 55123 City State Zip Company Phone ArchitecU Engineer Name Registration N Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: / OFFICE USE ONLY BUILDING PERMIT TYPE ` . ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish -O ,02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ~15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~.31 New ? 33 Alterations ? 35 Tenant Finish O 31 Demolish O 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Lonst. (Actual) Basement sq. ft. MWCC System (Allowable) ist F1. sq. ft. City liater UBC Occupancy 1Z73 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length zz~ On-site well Census Code de Depth ~ On-site sewage SAC Coje ~ APPROVALS o Planning Building Assessments En9ineering Variance REQUIRED INSPECTIONS ' ? Site ~ Footing 0 Framing ? Insulation ? Wallboard ~ Final ? Draintile ? Fireplace Permit Fee 25. uo v.imc;m: $ Surcharge Plan Review Li cense MWCC SAC Gity SAC Mater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies . Other Total: SAC % SAC Units fffl-I~AND INC. Certificate of Survey for : ~ SVEYING SERVICES Eagan, Minnesota 55121 DENNIS JOHNSON CONSTRUCTION 4L YoRKTOwni PLs?cE 0 0 M M a, ~ r q~o N 99 °49'24 E qv 85.DU ~O p 5~ 0 ~S m I 9d,95 z1. o a o z ~ N N ~ 3 /0 ZZ'0 , •:aZ.o a O ~ N N lo ~ ~ ~ 47. J \ Q C~ !j ~ I Q p ~ ~ecK 14 ~ ~ 2 L' I I SCaLE i=30' I i h 8S. 0 o h q ~q a qlp' NB9°48'24"E LEcAL DESCRiPT/ON: LOT 14, BLOCK 2, SUNSET ic"OURTN A00/T/ON, 9E0.2b TWP, 2 7 RGE, 23~ QAKOTa CO. MN. O DENOTc S iRON SET 938'DENoTES PRoPoSEO F/N/SNEO ELE?. 3B DENoTES L,ARA~E F<ooP. _F[E?. I hereby certify ihai ihis survey, plan ~ or report was prepored by me or under my direct supervision and that I am a Bradley J/ son Mn. Reg No. 15235 duly Registered Land Surveyor under ihe pafe; m Laws of ihe State of Minnesota. n TR,I - LAND I N C. Certificcte of S urvey for : SURVEYING SERVICES Eagan, Minnesota 55121 DENNIS JOHNSON CONSTRUCTION Qc YoRKTOwN PL,ocE 0 ~ M M . N 99 °48'24 E q~ Q 85.00 ~ - 5~ p ~S m I 9695 I T z. o 0 p ~ N N ~ 3 ~0 Z Z o •~>:.o It o t4 C ~ N N ~ Q ~ ~ az. v p 0 ~ I SCALE I=30I I 5 h 8s.oo h q„qa Glp' N99748"24"E LEcAL DESCR/PT/ON : LOT /4, BLOCK 2, SUN567' A'OURTN f+001710N, SEC. 26 TWV z 7 RGE, 23~ OA KvTa CO. MN . O DENOTc 5 /RON SET 93S°OrNoTES PRoPoSEO F/N/SNEO ELF?. 38 DENOTES CA.PAl~E FLOOP. _FLE? I hereby certify ihat this survey, plan or report was prepored by me or undar my direct supervision and that I am a Bradley J son Mn. Reg No. 15235 dul Re isfered Land Surve or under the / Y 9 Y Date: S 31/87 m Laws of ihe State of Minnesota. r ~ ~ ' MINNESdTA STATE BUILDING CODE DIVISION ~ . EXTERIOR ENYELOPE AV,~RAGE "U" LOMPUTATION ~OWNER, ~ •::~s,wy, . ~ . ' ~ . ~ SITE ADORESS , „ Y . . , . ~ . .L . CONTRALTOR~S6r•'~ DATE • IS 1 ~ ~PHONE ' .~5:'v c.~ , , •`7 . ~ . , ' ~ , f . ' Determine Norking~ square footage of each. Tntat exposed wa71 -area..... ~ sq. ft. x ' 0 49 Total`roof . •~~29•D'] e.J /ceilin9 area I ~1 Da 5 qft. x.~~ " . . ~ . oZb , . ; . •Tota1?,exposed•wa11 area abave floor = ~,1(6'~` ~ y W a. .Tota,lAwall;:window ar,ea.;.,..' b r; , ' . • b.~' Total door area ~ .19e)• ' ; a~~ • c. T3t1l. slidlrig 31ass do^r arpe d. Total fireplace wall-area ~~r. ~ e.Total•wall framing area (average 10%)...:.......~ ~ ~ -f.=Tota1.'net„ppll.area.,a6ove,floor., . i ~'u .t~ ~.g~Tote~lLrim-Joi'st'ar.ea..;.. . ~ . - , • : • :.t. • • . . Total :exposed foundatlon area~= y _w Total foundation wlndow area...... . ~ . Toal net foundation area above grade . , . , Determine "U" value of each wall segment. . . . a. . I 90. SS' XHU1, . j?o = 91. 14 b x"u.- 1ob6 = z•S6 C. 36 ~ X „u„ .48 = ?i .z~ ~ ' ~ d. / x i,u„ e... 133~~7~ X liull 3: , . . . f. X„u„ .043 = Sl•~ 6 9. tl'3.~ t0 x„U„ , oQn = 4:: Sti I..~ . ~ . ~ . . ' n.. X „u„ t._ ~ 143 x!~ull 46p = 6~~ o~ ~ , . .3 .....................................Tota1 If item N3 is the same as, or less than item #1, you have met the intent of SBC 6U06(c)2. ; - - ti-- . r , • , . . . - , - dT' " Total exposed roof/ceiling area ~ ~M4 . ~ _._..,3:""Total skylight'area....... :J . . . , k. Total roof/ceiling traming area (avernge lOf)..'. . 1. Total net insutated roof/ce111ng area........... 9p9.~ , ' . . 'Vl. Determine °U" value for each roof/ce111ng segment. IIp ~ J. ~ x OV ~k. _ . ' 'l~1`~ . x sun ,o3L X "U" ,.o72, o L1. `j . . • . I 4 .......Total . If total of i4 is the same as, or less than 02, you have met the intent of ' ~ ~ SBC 6006(c)1. -Alternate Butlding Envelope Design ~ . To ut111ze the-total'envelope system method, the values establlshed by the sum of items 03 and i4 shall not be greater than the sun of ltems 01 and 42: ~:i 3 t60 3 + 2. S3': 90 . 1.3 3. LSL•~A +a. 26,a' ' 09- .r . ~ - i. a ~ , - , a ' . . . 1/Y . . , . . , • , , AREA TYPICAL WALL SBCTION uRu 1. Intqrior Air Film • O~ . . 2. Interior Wallboard . , " 3. Insulation 9u, 4. Sxterior Sheathing 1 ° U. S. Esterio=-Siding . R ' 6. Exterior Air Pilm . . 1 xocat n23,~3 U. 043. - ANA NO. ' STUD & HEADER AREA . ° 1 . . ~ f Total Area No. 1 . r~•~1 i,~,.' 1.esa Ineulation °R" (1u . C1 Plus 3~11 Softwood.. • 1 =,U ;_Y., R Toeal ~O•Q3 p . .1~FtEA N+ c.2 S~LL ~fFALEJ( ~ RIM JOIST AREA . ,Paripacrel: , . ~ ~ • - OT. 1. Interior Air Film b~ " ~<it~~:} r 2. Inaulation 19•dU ~;,~'.,kf~ ' • . . " I'i•, • o Z 3. 11~11 Softwood I. R9 - 4. Exterior Sheathing .1,06 5. Exterior Siding W 1_ U : NoL 3 ,A 6. Exterior Air Pilm ~11 g pGU.ii)~1T"[ON : . ~ ' A ' ~ tl' • '0" Total . . , 43lSL ' FOUNDATION WALL AREA , • ' • l . 1. Interior Air Film ' 3 2. Insulation • ` . 3. Insulation (Block) ~ 1 _ U ROOP/CEILING 4. Exterior Air Film .\L R~ , ilii:6k AJ. 4 . Total 2• \3 U ROOF/CEILINC AREA i. inccr. ior Air Film 2. ]ntcrior Wallboard .~4. I I :1. 'InsulaLion 4,n~ 0.0 VGN'1 ~,II`~1~ I h. Lxwrior Air Film '6l ~ _ ? ' ' 4 ~ (Still) Total ~ . . ~ ..~.d ' - . ~N~At, C~.qN ; • ~'p \ VL1\\ -~'b~.v, `Q~~1 . . I , : iJ / ~ ~ J ~r . i . _ r WL~~ V9~^'~ • ~ ' . . •a VyL~~~6vCV~' Z...~.~~ ~~~vi., , {.3~•4 . . PERMIT City of Eagan Permit Type:Building Permit Number:EA114414 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 786 Yorktown Pl Lot:14 Block: 2 Addition: Sunset 4th PID:10-72988-02-140 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Pedro Gutierrez 786 Yorktown Pl Eagan MN 55123 Iron River Construction Llc 7540 Shoreline Dr W Waconia MN 55387 (952) 442-1762 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131727 Date Issued:07/06/2015 Permit Category:ePermit Site Address: 786 Yorktown Pl Lot:14 Block: 2 Addition: Sunset 4th PID:10-72988-02-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Pedro Gutierrez 786 Yorktown Pl Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147934 Date Issued:02/21/2018 Permit Category:ePermit Site Address: 786 Yorktown Pl Lot:14 Block: 2 Addition: Sunset 4th PID:10-72988-02-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Pedro Gutierrez 786 Yorktown Pl Eagan MN 55123 (612) 414-8517 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature cc EAGAN _®aw 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-56 MAY 2� buildinginsoectionst6Zcityofeagan.com 2020ECE'VE 2020 RESIDENTIAL BUIi r For Office Use Pemrit #: 20/ Permit Fee: I q 7 ? 0 Date Received: -5—d / — 14 Staff: J! APPLICATION Date: ZO JSite Address: ? Unit#: Resident/ Owner Name: / re✓►-r)G4- CIA.1-i iiv r',P - Phone: 6t i 3-32 107/4 % (f L ,� 1� Address / City /zip: # /� I ,% Applicant is: Owner Contractor Type Of Wo1'kDescription of work: Fr _Ljvv. t l /� I �Il /l �� E` l'i-4- bp Construction Cost: Multi -Family Building: (Yes / No iX ) Contractor Company: Z. tAiI C1%/'1 Tv_ • Contact: 644.44 L t'1 i Address: )t Z7 /4)I11l) V1I. City: J/- fL State:m)zip: 4CO7hone: lay/ 775" Ant; I ccpe4vlc ® btes' I.cem License #: -i 3 f . 3 Lead Certificate it: If the project is exempt from lead certification, please explain why: giA.4-4 n-Ft/ In the last 12 months, Yes No A NEW BUILDING COMPLETE THIS AREA ONLY IF CONSTRUCTING has the City of Eagan issued a permit for a similar plan If yes, date and address of master plan: based on a master plan? Licensed Plum r: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans end supporting documents that you submit are considered to be public information. Portions of the information maybe classified as nonpublic If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webslte at www.citvofeaaan.comisubscrlbe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE Y U DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved {n the case of work which requires a review and approval of plans 11- `— Applicant's Printed Name l/ DO NOT WRITE BELOW THIS LINE • SUB TYPES • Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction _ Fireplace Garage X Deck Lower Level (10Whon -Pi, _ Porch (3-Season) _ Exterior Alteration (Single Family) Porch (4-Season) _ Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) _ Miscellaneous Pool Accessory Building Interior Improvement _ Move Building _ Fire Repair Repair S . e3ec� Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) ,( Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final j( Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows _ Egress Window Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant - 1 MCES System ;? o a o SAC Units PP6 City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: S •A/e Aso _ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL ec K A/e j eec i. s ze : /9. s X )a Page 2 of 3 TRI -LAND INC. Certificate of Survey for : SURVEYING T7cthow,t r'1 /:x)/ SERVICES DE NIS JOHNSON CONSTRUCTION Eagan, Minnesota 55121 4 YORKTOwnN PLACE Y r i 7 Y or e 111 Z Z. 0 VWL ., a_ 0 .(N 0 Z en 5 / Gs' oa do Ql0 N 99 048'24'E 8S. 00 969 s) 1' t•a 22.0 0 0 4••: e+1 42. J V `s 3 0 tt 0 8�•0 h oq�g8 N89°48"24 "E L Ec, A4 OESCR/PT/O N : LOT /4, BLOCK 2, S j,vsg <"ouRTH A0ofT/ON, SEC. 26; TWA. 2 ? RGE, 23 DAKOTA CO. MN. a DENOTES /RON SET 938 -° 42dNa TES PRO PoSZo P/N/SHED ELF ✓ DENOTES 4AAPAa6 P.L000 FLE✓. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. SCALE: 1 : 301